MEDICARE: E & A WILLIAMS CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1831327147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E & A WILLIAMS CORPORATION

Provider Business Mailing Address
First Line	:	13734 RUGGED TRL
Second Line	:
City	:	GRAND LEDGE
State	:	MI
Zip	:	48837-9332
Country	:	US
Telephone Number	:	517-925-8135
Fax Number	:	517-925-8135

Provider Business Practice Location Address
First Line	:	13734 RUGGED TRL
Second Line	:
City	:	GRAND LEDGE
State	:	MI
Zip	:	48837-9332
Country	:	US
Telephone Number	:	517-925-8135
Fax Number	:	517-925-8135

Authorized Official
Title or Position	:	CEO
Name	:	MR. ERIC WILLIAMS
Credential	:
Telephone Number	:	517-925-8135

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	06/24/2009

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